Wiegand H, Winkelmüller W
Dtsch Med Wochenschr. 1985 Feb 8;110(6):216-20. doi: 10.1055/s-2008-1068801.
From August 1980 to May 1981, high-frequency lesions of the dorsal root entry zone of the spinal cord were performed on 35 patients with chronic deafferentiation pains. Among them were 15 patients with traumatic transverse cord lesions, 5 with non-traumatic transverse lesions and 7 with cervical root tears or traumatic brachial plexus lesions, 6 with stump or phantom pain after amputation, and 1 each with sciatic paralysis or spinal arachnopathy. Treatment results were best in complete transverse lesions, cervical root avulsion and brachial plexus lesion, less so for stump or phantom pain of the lower extremities. It failed in patients with sciatic-nerve lesion and arachnopathy. Thus best results are to be expected if the method is limited to genuine deafferentiation pain.
1980年8月至1981年5月，对35例慢性去传入性疼痛患者进行了脊髓背根入区高频损伤。其中15例为创伤性横贯性脊髓损伤，5例为非创伤性横贯性损伤，7例为颈神经根撕裂或创伤性臂丛神经损伤，6例为截肢后残端或幻肢痛，1例为坐骨神经麻痹或脊髓蛛网膜炎。治疗效果在完全性横贯性损伤、颈神经根撕脱和臂丛神经损伤中最佳，下肢残端或幻肢痛的效果稍差。坐骨神经损伤和蛛网膜炎患者治疗失败。因此，如果该方法仅限于真正的去传入性疼痛，有望获得最佳效果。
